In 1995, 11 years after Saucier started NASA’s informal work on an
implantable continuous-flow blood pump, some of the NASA and Baylor
researchers helped create a company called MicroMed to bring the pump to
market, and three years later, surgeons implanted one in a patient in
Europe. (The FDA hadn’t yet approved it for use in the U.S.) By now,
MicroMed had competition from a company called Thoratec, which had an
Archimedes’-screw continuous-flow blood pump of its own moving through
the FDA approval process. Eager to stay ahead, MicroMed made the
bubble-era mistake of letting itself be acquired by a hedge fund called
Absolute Capital Management, which starved the project as it imploded
spectacularly, its principals facing charges of fraud. Thoratec zoomed
past the wreckage of MicroMed and was soon testing its own device, the
HeartMate II, in clinical trials.
The HeartMate II was an Archimedes’ screw with magnets implanted in
the axle and an electric coil in the cylindrical case surrounding it—the
saltshaker-shaped device that Cohn had placed in my hands. A charge
zipped around the coil, drawing the screw along at 8,000 to 12,000
revolutions per minute. The axle spun on a synthetic-ruby bearing,
lubricated by the blood itself. Connected to a portable battery, it let
patients live fairly normal lives and was designed to stay in place
forever, not merely as a “bridge to transplant.” Patients’ own hearts
still worked; the continuous flow of the pump just helped things along.
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